Individual
DR. NEETA MOTIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
466 OLD HOOK ROAD, SUITE 1, EMERSON, NJ 07630-1368
(201) 967-8221
(201) 634-9647
Mailing address
466 OLD HOOK ROAD, SUITE 1, EMERSON, NJ 07630-1368
(201) 967-8221
(201) 634-9647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05097900
NJ
207R00000X
Internal Medicine Physician
MA050979
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0952983
CLIA
NJ
Enumeration date
09/06/2005
Last updated
12/27/2012
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